Jawbone Surgery (Mandibular Joint Surgery): I hriat tur pawimawh tak tak

I doctor-in i hmui hnuai lam ṭhenkhat chu operation hmanga lak chhuah a ngai tih a hrilh che chuan hlauhna leh mangang tak i nei thei a ni. He surgery ‘mandibulectomy’ an tih hi i hriat hian i rilruah zawhna tam tak i nei thei. "Ka hmel a danglam dawn em?", "Ka sawi thei ang em, ka ei leh thei ang em?" Mahse, lungngai suh. He thuziak ah hian he surgery chungchang te, a tih chhan te, a lo awm dan te, surgery zawh hnua beisei tur te chu awlsam leh hriatthiam theih takin kan sawi dawn a ni.

A awlsam zawngin, mandibulectomy tih hi eng nge ni?

A awlsam zawngin, mandibulectomy chu i hmui hnuai lam (manible) thenkhat emaw, a zawng zawng emaw surgery hmanga lakchhuahna a ni. Hei hi ‘mandibular resection’ an ti \hin.

Doctor-te chuan hetiang surgery hi tih an rel tlangpui a, chu chu jawbone-ah cancer natna a awm a nih chuan, natna khirh tak a awm a nih chuan, emaw, damdawi lam thil engemaw avanga jawbone a chhiat chuan. A tum ber chu natna hmun chu paih vek a, natna darh zel tur ven hi a ni.

He surgery chi hrang hrangte hi engte nge ni?

Mandibulectomy surgery hi chi hnih ah then theih a ni. Jawbone engzat nge lakchhuah tih ah a innghat. Chu chi hnih chu eng nge ni tih i han thlir teh ang.

Khawi atanga ruh siam thatna tur nge i hmuh?

Segmental mandibulectomy-ah chuan surgeon-te chuan i taksa peng dang atanga ruh, tissue, vun leh thisen kalna (arteries leh veins) te chu an la a, chu chuan i jawbone chu an siam thar leh thin. Hei hi ``free-flap reconstruction'' an ti a, i thawmhnaw chhe tawh siam that nan puan pakhat la a, patch up ang maiin ngaihtuah rawh.

Chumi atana ruh leh tissue lakna hmun tlangpui chu:

• Ke hnuai lam: A tam zawkah chuan fibula ruh hmun thenkhat lak a ni.
• Shoulder blade: A then phei chuan shoulder blade thenkhat chu lakchhuah theih a ni.
• Hip: Hemi atan hian hip ruh thenkhat pawh lak theih a ni.

A châng chuan, metal plate emaw, donor dang ruh graft emaw pawh hman theih a ni. I medical team chuan hei hi an hrilhfiah ang che.

Eng dinhmunah nge he surgery hi a tul?

Doctor chuan chhan chiang tak tak engemaw zat avangin hetiang surgery hi a hmang ang. Chung zingah chuan a chhan ber chu hengte hi a ni.

• Oral cancer: Kawng chhungah emaw, leiah emaw, hmuiah emaw, hmuiah emaw cancer lo awm chu hmui ruh thlengin a darh a nih chuan.
• Oropharyngeal cancer: Kan rilru chhungril lam atanga cancer intan chu hmui ruh thlengin a darh a nih chuan.
• Bone Infection (Osteomyelitis): Bacteria infection na tak i neih a, chu chu jawbone-ah a darh a, enkawlna a dawng lo a nih chuan.
• Osteonecrosis of the jaw: Damdawi thenkhat (a bik takin bisphosphonates) emaw radiation therapy emaw hman avanga jaw ruh a thih chuan.
• Accident na tak: Accident na takah chuan jawbone chu a chhe vek a, a chhe lutuk a, kawng danga siamthat theih loh a nih chuan.

Surgery neih hmain eng nge thleng?

Operation hmaa inbuatsaihna hun a awm a, chutih lai chuan medical team chuan i dinhmun chu an hrethiam kim vek a ni.

• Test: CT scan hmangin i jawbone-a tumor emaw, a chhiat hmun emaw chu a lian leh te, a darh dan dik taka teh theih a niHetiang test hi an ti thin. Reconstructive surgery tih a nih chuan thisen petu hmuna thisen kalna kawng hriselna enfiah turin special test pawh tih a ni bawk.
• Medical team nena inhmuhkhawm: He surgery hi doctor team hrang hrangin an ti thin. He team-ah hian lu leh kawng surgeon, reconstructive surgeon, leh oral surgeon te pawh an tel thei. Surgery chungchang chipchiar takin an sawipui ang che.
• Thil tihtawp tur: Operation laiin thisen chhuahna tipung thei emaw, damna tibuaitu emaw thil tih loh tur a ni.
• Zu
• Natna tidamtu aspirin leh ibuprofen te
• Meizial zuk (cigarette) - Hei hian damna kawngah a tichhe hle.
• Ayurvedic emaw herbal damdawi thenkhat

Pawimawh: Tuna i damdawi ei zawng zawng, vitamin pawh nise, i doctor hnenah hrilh ngei ang che.

Surgery neih chhung hian eng nge thleng?

Hei hi surgery buaithlak tak a ni a, darkar engemaw zat a la ngai dawn a ni. Mahse, lungkham tur i nei lo. Procedure chhung zawng hian general anesthesia hnuaiah i awm dawn a, chuvangin i muhil tha hle ang.

Marginal Mandibulectomy-ah chuan...

1. Surgeon chuan i hmui chhungah incision a siam ang.

2. Jawbone-a tumor emaw natna nei emaw chu lakchhuah a ni a, chubakah a chhehvela tissue hrisel tlemte a awm bawk.

3. Incision te chu khar a, suture a ni.

Segmental Mandibulectomy ah chuan...

Hei hi a rei deuh hlek a ni. Surgical team pahnih chu a rualin hna an thawk thei. Team pakhatin hip surgery an tih laiin team dang chuan donor site an buatsaih thung.

1. Pakhatnaah chuan a chhehvel tissue te nen chuan jawbone natna nei chu lakchhuah a ni.

2. A part lakchhuah te chu laboratory-ah cancer cell a awm em tih leh a darh tawh em tih enfiah turin an thawn thin.

3. Tin, cancer hi kawr chhunga lymph node-ah a darh tawh em tih enfiah a ni bawk.

4. Surgical team dang chuan ruh dahna hmun (e.g., ke) atang hian ruh, vun leh thisen kalna kawng section tul tak tak an la thin.

5. Ruh lakchhuah chu jaw atanga lakchhuahna hmun nen a inmil tawk turin an siam a.

6. Tissue lak tawhte thisen supply pe turin chu thisen kalna chu i kawr chhunga thisen kalna kawngte nen chuan nalh takin a inzawm a ni.

7. Jaw part thar chu jaw-ah hian special metal plate leh screw hmangin an inzawm a, a incision te chu khar leh suture an ni.

Surgery-a tih tur dang

Operation hnuah i ha leh i hmui te chu a awmna tur dik takah awm reng tur leh thawk awlsam zawk nan enkawl belh i mamawh mai thei.

• Arch bar leh rubber band: Hengte hi ha leh hmui a inmil theih nan ka chhungah dah a ni.
• Tracheostomy tih a ni:Operation hnu ni hmasa berah chuan kawr hmalam chu thlipui (trachea) chhungah tube dahin thawk a awlsam zawk a, a chhan chu a rilru a na dawn a ni. Hei hi hun eng emaw chen atan a ni.
• Feeding tube: Ka hmanga ei a harsat avangin hnar kaltlangin pum chhungah tube dahin ei tur mamawh a pe a, chaw tui tak a pe bawk.

Surgery hnuah eng nge thleng?

Recovery period hian dawhtheihna tlem a mamawh a ni.

• Damdawi ina awm: I operation chi hrang hrang a zirin ni hnih atanga kar hnih thleng khawi hmunah pawh damdawi inah i awm a ngai mai thei. Segmental surgery-ah hian rei zawk awm a ngai tlangpui.
• I haw hunah: I haw hnuah doctor-in a pek dan dik tak zawm a pawimawh hle. I incisions te thianghlim taka vawn dan leh ei dan tur zirtir i ni ang. In i haw hunah pawh feeding tube i la nei thei a, a nih loh leh liquid foods chauh ei turin an ti mai thei bawk. Natna damdawi i pek apiang chu a hun takah ei thin ang che.
• Enkawlna dang: I dam leh hunah chuan, ei leh in zir leh tawng leh thei tura pui turin speech therapist leh physical therapist te tanpuina i mamawh mai thei. Cancer natna avanga operation i neih chuan i doctor chuan cancer cell la awm zawng zawng tihhlum nan radiation therapy emaw chemotherapy emaw a rawt thei bawk.

Eng chen nge a dam kim theih nan?

Hemi atan hian hun dik tak sawi a harsa khawp mai. Mi hrang hrangah leh surgery neih dan azirin a inang lo.

• Partial mandibulectomy hnua dam lehna hi a rang hle.
• Segmental mandibulectomy leh reconstruction hnua dam lehna tur chuan thla tam tak a daih thei. Chaw ei dan, ei dan leh tawng dan zir thar leh tur chuan hun a ngai a ni.
• Hnathawh leh tur chuan kar engemaw zat a la ngai thei. Exercise ang chi thil hahthlak tak tak tan tur chuan rei zawk i nghah a ngai mai thei. I medical team chuan i tana tha tur schedule an pe ang che.

Doctor pan vat vat ngai symptoms te chu engte nge ni?

Operation hnua in lama i awm laiin heng symptoms zinga pakhat tal i neih chuan doctor thurawn la nghal rawh. A tul chuan damdawi in Emergency Department (ETU) ah kal thin ang che.